MCA Simple Application
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Mr
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Ms
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example@example.com
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Date of Birth
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Month
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Day
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Year
How long have you lived in your current address?
*
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Business Information
Industry
Accounting
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Apparel & Fashion
Architecture & Planning
Arts and Crafts
Automotive
Aviation & Aerospace
Banking
Biotechnology
Broadcast Media
Building Materials
Business Supplies and Equipment
Capital Markets
Chemicals
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware Computer Networking
Computer Software Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space Design
Education Management
E-Learning
Electrical/Electron
Manufacturing
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Farming
Financial Services
Fine Art
Fishery
Food & Beverages Food Production
Fund-Raising
Furniture
Gambling & Casinos
Glass, Ceramics & Concrete
Government Administration
Government Relations
Graphic Design
Health, Wellness and Fitness
Higher Education
Hospital & Health Care
Hospitality
Human Resources
Import and Export
Individual & Family Services
Industrial Automation
Information Services
Information Technology and Services
Insurance
International Affairs
International Trade and Development
Internet
Investment Banking
Investment Management
Judiciary
Law Enforcement
Law Practice
Legal Services
Legislative Office
Leisure, Travel & Tourism
Libraries
Logistics and Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Maritime
Market Research
Marketing and Advertising
Mechanical or Industrial Engineering
Media Production
Medical Devices
Medical Practice
Mental Health Care
Military
Mining & Metals
Motion Pictures and Film
Museums and Institutions
Music
Nanotechnology
Newspapers
Non-Profit Organization Management
Oil & Energy
Online Media
Outsourcing/Offshoring
Package/Freight Delivery
Packaging and Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations and Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities and Services
Religious Institutions
Renewable & Environment
Research
Restaurants
Retail
Security and Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Staffing and Recruiting
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation and Localization
Transportation/Trucking/Railroad
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine and Spirits
Wireless
Writing and Editing
Gross monthly income
*
Monthly rent/mortgage
*
How long have you been in business?
*
0-1 Year
1-2 Years
3-4 Years
5+ Years
How long has your business been at your current address?
*
0-1 Year
1-2 Years
3-4 Years
5+ Years
Do you Have Credit Card Processing
Yes
No
Simple Disclosure
All information provided through this application will be utilized in attempting to approve your business for funding. Please make sure all data is accurate to the best of your knowledge. any misinformation will be considered as defrauding a lender and will approached as such. this form is in no way a guarantee for funding or an approval statues form any of our vendors. any merchant approved for funding will qualify for a free 30 min growth, money management, and marketing consultation. by submitting you are agreeing with Demand Consulting Group's Terms Conditions.
I authorize DFS Credit Grantors/Lending/Leasing Companies to obtain personal and business credit information about my company from the credit bureaus, or credit reporting agency, any person who has or may have any financial dealing with me, or from any references I have provided. This information, as well as that provided by me in the application, will be referred to in connection with this lease and any other relationships we may establish from time to time. Any business credit information obtained may be disclosed from time to time to other lenders, credit bureaus or other credit reporting agencies. *
*
YES
I hereby agree that the information given is true, accurate and complete as of the date of this application submission. *
*
YES
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